Form990-PF
Click to see attachment
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Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
JEROME P SUBAR FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 3636
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GRAND RAPIDS, MI49501
A Employer identification number

38-2445793
B Telephone number (see instructions)

(616) 813-9347
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,363,144
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 52,320 52,320  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 309,206
b Gross sales price for all assets on line 6a 581,741
7 Capital gain net income (from Part IV, line 2)... 309,206
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 361,526 361,526  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,000 0   1,000
c Other professional fees (attach schedule).... 13,593 13,593   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 4,344 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 20 0   20
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 18,957 13,593   1,020
25 Contributions, gifts, grants paid....... 100,237 100,237
26 Total expenses and disbursements. Add lines 24 and 25 119,194 13,593   101,257
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 242,332
b Net investment income (if negative, enter -0-) 347,933
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 1 1 1
2 Savings and temporary cash investments......... 76,078 77,235 77,235
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,086,464 Click to see attachment1,299,224 2,032,237
c Investments—corporate bonds (attach schedule)....... 119,226 Click to see attachment149,115 145,124
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 101,437 Click to see attachment98,111 108,547
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,383,206 1,623,686 2,363,144
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,383,206 1,623,686
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 1,383,206 1,623,686
30 Total liabilities and net assets/fund balances (see instructions). 1,383,206 1,623,686
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,383,206
2
Enter amount from Part I, line 27a .....................
2
242,332
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3
4
Add lines 1, 2, and 3 ..........................
4
1,625,541
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,855
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,623,686
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a INVESCO OPPENHEIMER STEELPATH     2021-10-26
b AUTOZONE INC     2021-10-27
c DOVER CORP     2021-10-27
d ORGANON & CO     2021-10-27
e VANGUARD REAL ESTATE ETF     2021-10-27
VIATRIS INC     2021-10-27
CHUBB LIMITED     2021-11-08
ANHEUSER BUSCH INBEV SA/NV     2021-11-08
APPLE INC     2021-11-08
AUTOZONE INC     2021-11-08
BOEING CO     2021-11-08
COCA COLA CO     2021-11-08
DOVER CORP     2021-11-08
MONDELEZ INTL INC CL A     2021-11-08
NEXTERA ENERGY INC     2021-11-08
OCCIDENTAL PETE CORP     2021-11-08
OCCIDENTAL PETE CORP WT     2021-11-08
PULTE GROUP INC     2021-11-08
US BANCORP DEL     2021-11-08
UNION PAC CORP     2021-11-08
VANGUARD REAL ESTATE ETF     2021-11-08
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 13,000   15,164 -2,164
b 23,693   5,528 18,165
c 23,869   8,471 15,398
d 2,195   1,394 801
e 47,877   36,941 10,936
1,705   1,504 201
11,833   6,883 4,950
11,868   19,663 -7,795
71,451   7,694 63,757
36,035   8,505 27,530
11,871   6,573 5,298
5,978   4,031 1,947
44,679   15,560 29,119
46,755   22,808 23,947
47,293   11,308 35,985
10,080   27,201 -17,121
561   183 378
64,168   20,807 43,361
23,336   14,376 8,960
59,652   19,682 39,970
23,842   18,259 5,583
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       -2,164
b       18,165
c       15,398
d       801
e       10,936
      201
      4,950
      -7,795
      63,757
      27,530
      5,298
      1,947
      29,119
      23,947
      35,985
      -17,121
      378
      43,361
      8,960
      39,970
      5,583
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 309,206
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,836
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,836
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,072
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 6,604
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 9,676
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,840
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet4,840 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJUDITH SUBAR Telephone no.bullet (616) 241-6491

    Located atbullet2605 HAMPSHIRE BLVD SEGRAND RAPIDSMI ZIP+4bullet49506
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    JUDITH H SUBAR DIRECTOR
    1.00
    0 0 0
    100 28TH STREET
    GRAND RAPIDS,MI49508
    JONATHAN E SUBAR DIRECTOR
    1.00
    0 0 0
    100 28TH STREET
    GRAND RAPIDS,MI49508
    DEAN E SUBAR DIRECTOR
    1.00
    0 0 0
    100 28TH STREET
    GRAND RAPIDS,MI49508
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,145,296
    b
    Average of monthly cash balances.......................
    1b
    76,658
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,221,954
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,221,954
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    33,329
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,188,625
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    109,431
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    109,431
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,836
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,836
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    104,595
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    104,595
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    104,595
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 104,595
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 1,793
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020...... 8,650
    f Total of lines 3a through e ........ 10,443
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 101,257
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 101,257
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 3,338 3,338
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 7,105
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    7,105
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 7,105
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    ACLU FOUNDATIONMICHIGAN FUND
    2966 WOODWARD AVENUE
    DETROIT,MI48201
    NONE PC GENERAL 600
    AMERICAN COMMITTEE FOR SANZ INSTITUTIONS IN ISRAEL INC
    1611 46TH ST APT B3
    BROOKLYN,MI11204
    NONE PC GENERAL 1,000
    AMERICAN FRIEND OF AISH HOTORAH WESTERN REGION (AISHLIT)
    1417 S DOHENY DR
    LOS ANGELES,CA90035
    NONE PC GENERAL 500
    AMERICAN FRIENDS OF LATET HUMANITARIAN AID INC HOLOCOST SURVIVOR PROGRAM
    57 WINGATE STREET SUITE 204
    HAVENHILL,MA01832
    NONE PC GENERAL 500
    AMERICAN FRIENDS OF MAGEN DAVID ADOM
    3175 COMMERCIAL AVENUE
    NORTHBROOK,IL60062
    NONE PC GENERAL 250
    AMERICAN FRIENDS OF YAD ELIEZER
    1102 E 26TH STREET
    BROOKLYN,NY11210
    NONE PC GENERAL 500
    AMERICAN FRIENDS OF YESHIVA DMIR INC
    5227 NEW UTRECHT AVE
    BROOKLYN,NY11219
    NONE PC GENERAL 750
    AMERICAN RED CROSS - GRAND RAPIDS
    3886 BROADMOOR AVE SE
    GRAND RAPIDS,MI49512
    NONE PC GENERAL 100
    ASSOCIATION FOR THE BLIND & VISUALLY IMPAIRED
    456 CHERRY ST SE
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 100
    BETH JACOB HIGH SCHOOL INC
    1110 NE 163RD ST
    NORTH MIAMI BEACH,FL33162
    NONE PC GENERAL 1,000
    BETHANY CHRISTIAN SERVICES
    901 EASTERN AVE NE
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 50
    BONEI OLAM
    1755 46TH STREET
    BROOKLYN,NY11204
    NONE PC GENERAL 200
    BROADWAY GRAND RAPIDS
    122 LYON ST NW
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 100
    CAMERA
    2954 28TH STREET SE
    GRAND RAPIDS,MI49512
    NONE PC GENERAL 200
    CHABAD HOUSE OF ANN ARBOR
    715 HILL
    ANN ARBOR,MI48104
    NONE PC GENERAL 600
    CHABAD HOUSE WEST MICHIGAN
    2615 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 5,750
    CHABAD LUBAVITCH AVENTURA SOUTH
    18449 NE 28TH CT
    AVENTURA,FL33160
    NONE PC GENERAL 250
    CHABAD OF GOLD COAST
    3 JOHNSON CT
    EAST NORWICH,NY11732
    NONE PC GENERAL 250
    CHABAD OF KALAMAZOO
    504 SPRAGUE AVE
    KALAMAZOO,MI49006
    NONE PC GENERAL 500
    CHABAD OF S BARBARA
    6047 STOW CANYON RD
    SANTA BARBARA,CA93117
    NONE PC GENERAL 1,000
    CHAI LIFELINE
    151 WEST 30TH STREET NORTH
    NEW YORK,NY10001
    NONE PC GENERAL 1,000
    COMMUNITY CIRCLE THEATRE
    1703 ROBINSON RD SE
    EAST GRAND RAPIDS,MI49506
    NONE PC GENERAL 100
    CONGREGATION AHAVAS ISRAEL
    2727 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 1,250
    CONGREGATION AHAVAS ISRAEL - HIGH HOLY DAYS
    2727 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 100
    CONGREGATION BETH DAVID
    19700 PROSPECT RD
    SARATOGA,CA95070
    NONE PC GENERAL 2,500
    CONGREGATION NACHALAS SHIMON
    669 EAST 4TH STREET
    BROOKLYN,NY11218
    NONE PC GENERAL 250
    CONGREGATION OHAVEI TORAH
    139 CAROL STREET
    LAKEWOOD,NJ08701
    NONE PC GENERAL 14,000
    CONGREGATION SHAREI TEFILAH
    29 PARKER BLVD
    MONSEY,NY10952
    NONE PC GENERAL 2,000
    CONGREGATION AHAVAS ISRAEL-CANTOR STUART RAPAPOR KIDDUSH RETIRE LUNCH
    2727 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 500
    DAVIS MEMORIAL FUND INC
    25 LAWRENCE AVENUE
    LAWRENCE,NY11559
    NONE PC GENERAL 2,500
    DISABLED AMERICAN VETS
    PO BOX 14301
    CINCINNATI,OH45250
    NONE PC GENERAL 100
    EZRAT ISRAEL INC
    806 EASTERN PKWY
    BROOKLYN,NY11213
    NONE PC GENERAL 1,000
    FLATBUSH VOLUNTEERS OF HATZOLOH INC
    1880 OCEAN AVE
    BROOKLYN,NY11230
    NONE PC GENERAL 200
    FREDRICK MEIJER GARDENS
    1000 E BELTLINE AVE NE
    GRAND RAPIDS,MI49525
    NONE PC GENERAL 100
    FRIENDS OF EAST GRAND RAPIDS LIBRARY
    746 LAKESIDE DR SE
    EAST GRAND RAPIDS,MI49506
    NONE PC GENERAL 100
    FRIENDS OF ISRAELI DISABLED VETS
    1133 BROADWAY 232
    NEW YORK,NY10010
    NONE PC GENERAL 100
    FRIENDS OF YAD EZRA VSHULAMIT
    3470 WILSHIRE BLVD
    LOS ANGELES,CA90010
    NONE PC GENERAL 500
    FRIENDS OF ADERES HATORAH INC
    1072 MADISON AVENUE
    LAKEWOOD,NJ08701
    NONE PC GENERAL 250
    GRAND RAPIDS CIVIC THEATRE
    30 DIVISION AVE N
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 500
    GRAND RAPIDS COMMUNITY FOUNDATION
    185 OAKES ST SW
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 1,500
    HABITAT FOR HUMANITY - GRAND RAPIDS
    425 PLEASANT ST SW
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 167
    HADASSAH
    40 WALL STREET
    NEW YORK,NY10005
    NONE PC GENERAL 100
    HEART OF WEST MICHIGAN UNITED WAY
    118 COMMERCE AVE SW
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 500
    ISRALIGHT SOUTH FLORIDA INC
    8304 WATERLINE DR
    BOYNTON BEACH,FL33472
    NONE PC GENERAL 100
    JAFCO (JEWISH ADOPTION AND FAMILY CARE)
    4200 N UNIVERSITY DR
    SUNRISE,FL33351
    NONE PC GENERAL 1,000
    JEWISH CULTURAL COUNCIL CO JEWISH FED OF GRAND RAPIDS
    2727 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 500
    JEWISH FEDERATION OF GRAND RAPIDS
    2727 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 34,000
    JEWISH FILM FESTIVAL (SEE JFGR)
    2727 MICHIGAN ST NE
    GRAND RAPIDS,MI49506
    NONE PC GENERAL 250
    JEWISH THEATRE GRAND RAPIDS
    160 FOUNTAIN ST NE
    GRAND RAPIDS,MI49503
    NONE PC GENERAL 500
    JN FUTURE-MIAMI (JEWISH NATIONAL FUND KEREN KAYEMETH LEISRAEL INC)
    902 CLINT MOORE RD
    BOCA RATON,FL33487
    NONE PC GENERAL 1,000
    KOLLEL ZICHRON MICHEL OF NMB (NORTH MIAMI BEACH KOLLEL INC)
    990 NE 175 ST
    NORTH MIAMI BEACH,FL33162
    NONE PC GENERAL 2,500
    KUPATH EZRAH OF ROCKLAND COUNTY INC
    PO BOX 3
    MONSEY,NY10952
    NONE PC GENERAL 200
    LAKEWOOD CHEDAR SCHOOL
    1785 SWARTHMORE AVENUE
    LAKEWOOD,NJ08701
    NONE PC GENERAL 2,500
    LEUKEMIA & LYMPHOMA SOCIETY
    3 INTERNATIONAL DRIVE
    RYE BROOK,NY10573
    NONE PC GENERAL 350
    MESIVTA TORAH VODAATH
    425 E 9TH ST
    BROOKLYN,NY11218
    NONE PC GENERAL 2,500
    MICHIGAN PUBLIC RADIO
    535 W WILLIAM ST SUITE 110
    ANN ARBOR,MI48103
    NONE PC GENERAL 100
    MOADIM UZMANIM INC
    50 LAPSLEY LN
    LAKEWOOD,NJ08701
    NONE PC GENERAL 1,000
    NATIONAL COUNCIL OF YOUNG ISRAEL
    9315 W PICO BLVD
    LOS ANGELES,CA90035
    NONE PC GENERAL 120
    NATIONAL YIDDISH BOOK CENTER
    1021 WEST STREET
    AMHERST,MA01002
    NONE PC GENERAL 50
    NOAM SHABBOS
    1701 45TH STREET
    BROOKLYN,NY11204
    NONE PC GENERAL 250
    OHEV SHALOM CONGREGATION
    7055 BONITA DRIVE
    MIAMI BEACH,FL33141
    NONE PC GENERAL 100
    OHR SOMAYACH INTERNATIONAL
    26877 NORTHWESTERN HWY 308
    SOUTHFIELD,MI48033
    NONE PC GENERAL 500
    SOUTH FLORIDA PBS
    3401 S CONGRESS AVE
    BOYNTON BEACH,FL33426
    NONE PC GENERAL 100
    ST JUDE'S CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105
    NONE PC GENERAL 200
    SUVU BANIM MIAMI INC
    19088 NE 29TH AVE
    AVENTURA,FL33180
    NONE PC GENERAL 1,500
    TOMCHE SHABBOS OF ROCKLAND COUNTY
    78 COLLEGE RD
    MONSEY,NY10952
    NONE PC GENERAL 200
    YESISIM USA
    5410 NW 12TH AVE
    FORT LAUDERDALE,FL33309
    NONE PC GENERAL 500
    TORAHANYTIMECOM
    14751 71ST AVE
    FLUSHING,NY11367
    NONE PC GENERAL 200
    U OF MI ALUMNI CLUBALUMNI ASSO OF THE U OF MI (FULL CHAPTER)
    200 FLETCHER ST
    ANN ARBOR,MI48109
    NONE PC GENERAL 100
    WESTERN MICH UNIVERSITY
    1903 W MICHIGAN AVE
    KALAMAZOO,MI49008
    NONE PC GENERAL 50
    WESTSIDE KOLLEL INC DBA TLC
    8666 W PICO BLVD
    LOS ANGELES,CA90035
    NONE PC GENERAL 300
    WGVU PUBLIC MEDIA
    301 FULTON ST W
    GRAND RAPIDS,MI49504
    NONE PC GENERAL 100
    WOMEN'S ZIONIST ORGANIZATION CO HADASSAH
    40 WALL STREET
    NEW YORK,NY10005
    NONE PC GENERAL 200
    YESHIVA OF SPRING VALLEY
    121 COLLEGE RD
    SUFFERN,NY10901
    NONE PC GENERAL 2,000
    YESHIVAS OHR REUVEN
    259 GRANDVIEW AVE
    SUFFERN,NY10901
    NONE PC GENERAL 250
    YESHIVA TORAS CHAIM TORAS EMES (GIRLS PROGRAMS)
    1025 MIAMI GARDENS DR
    NORTH MIAMI BEACH,FL33179
    NONE PC GENERAL 500
    YESHIVAS KARLIN STOLIN
    1818 54TH STREET
    NEW YORK,NY11204
    NONE PC GENERAL 500
    YESHIVA KEREN ORAH
    761 RIVER AVE 2
    LAKEWOOD,NJ08701
    NONE PC GENERAL 2,500
    Total .................................bullet 3a 100,237
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 309,206  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 361,526 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    361,526
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREP FEE 1,000 0   1,000

    TY 2021 GeneralExplanationAttachment
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Identifier Return Reference Explanation
    AMENDED CARRY FORWARD AMOUNT FORM 990-PF - PART XII - LINE 3E ORIGINAL RETURN OMITTED THE CARRYFORWARD OF $8,650 FROM THE 2020 RETURN. THE AMENDED RETURN HAS INCLUDED THIS CARRY FORWARD AMOUNT.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Name of Bond End of Year Book Value End of Year Fair Market Value
    EATON VANCE FLOATING RATE 49,692 47,905
    PIMCO LOW DURATION FUND 69,423 67,832
    ARTISAN HIGH INCOME FUND 15,000 14,605
    BLACKROCK FDS II STRG OPP INSTL 15,000 14,782

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COCA COLA CO 14,983 23,329
    AMERICAN INTL GROUP INC 29,453 34,116
    APPLE INC 17,877 195,149
    AUTOZONE INC 17,861 88,048
    BOEING CO 19,837 34,023
    CVS HEALTH CORP 28,880 51,580
    CHEVRON CORP 36,414 35,205
    CHUBB 13,100 22,811
    GILEAD SCIENCES INC 15,680 18,153
    INTEL CORP 27,624 61,800
    JOHNSON & JOHNSON 26,112 51,321
    MERCK & CO INC 27,832 45,984
    NEXTERA ENERGY INC 12,880 59,657
    PFIZER INC 27,444 59,050
    PHILIP MORRIS INTL 26,163 28,500
    US BANCORP 34,172 53,249
    UNION PAC CORP 11,809 37,790
    VERIZON COMMUNICATIONS 41,623 41,568
    CISCO SYSTEMS INC 50,388 76,044
    COMCAST CORP CL A 49,141 50,330
    INVESCO OPPENHEIMER 116,129 146,761
    VANGUARD SMALL-CAP E 93,292 203,409
    ISHARES CORE MSCI EA 205,173 244,073
    VANGUARD FTSE EMERGING MARKETS 142,900 139,131
    TJX COS INC 30,127 33,177
    SCHWAB CHARLES CORP 17,567 18,166
    MASTERCARD INC 24,132 26,230
    FEDEX CORPORATION 24,233 25,864
    D R HORTON INC 30,344 36,439
    CONSTELLATION BRANDS INC 35,509 40,657
    CONOCOPHILLIPS 24,208 23,747
    CATERPILLAR INC 26,337 26,876

    TY 2021 InvestmentsOtherSchedule2
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    VANGUARD REAL ESTATE AT COST 29,333 40,255
    ISHARES S&P GLOB INFRAS INDEX FD AT COST 68,778 68,292

    TY 2021 OtherDecreasesSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Description Amount
    RETURN OF CAPITAL ADJUSTMENTS 1,851
    ROUNDING 4


    TY 2021 OtherExpensesSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ANNUAL REPORT, FILING FOR 2021 20 0   20


    TY 2021 OtherIncreasesSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Description Amount
    MISCELLANEOUS 3


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TRUSTEE/AGENT COMPENSATION 13,593 13,593   0


    TY 2021 TaxesSchedule
    Name:
    JEROME P SUBAR FOUNDATION
    EIN:
    38-2445793
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    1ST QTR 990PF ESTIMATE PAID 3,072 0   0
    2020 EXTENSION PAYMENT PAID IN 2021 1,272 0   0